<p>Contents</p> <p>[draft of TOC – upon approval, I would seek additional reviews by experts on contents before finalizing, including Dr. Peter Cameron]</p> <p>Top 100 Secrets </p> <p>Section 1 History of Emergency Medical Services</p> <ol> <ol> <p> <li>History of Emergency Medical Services</li> <p>Section 2 Emergency Medical Services Operations</p> <p> <li>Destination Guidelines and Hospital Designation </li> <p> <li>Emergency Vehicle Operation </li> <p> <li>EMS System Design</li> <p> <li>Media and Public Relations</li> <p> <li>Medical Direction </li> <p> <li>Medicolegal Issues </li> <p> <li>Prehospital Communications </li> <p> <li>Public Health and EMS </li> <p> <li>Quality Improvement </li> <p> <li>Research in EMS </li> <p>Section 3 Personal Safety and Wellness</p> <p> <li>Critical Incident Stress</li> <p> <li>Infectious Disease Exposure</li> <p> <li>Occupational Health Issues in EMS</li> <p> <li>Scene Safety</li> <p>Section 4 Adult Medical Care</p> <p> <li>Decision making and critical interpretation of vital signs</li> <p> <li>Prehospital physical assessment</li> <p> <li>Abdominal pain, vomiting and diarrhea, dehydration </li> <p> <li>Altered mental status</li> <p> <li>Arrhythmias </li> <p> <li>Cardiac arrest, including ECMO</li> <p> <li>Cardiac emergencies – chest pain, STEMI, ACS, CHF </li> <p> <li>Cardiac device emergencies – pacemaker/implanted defibrillator dysfunction, left ventricular assist devices </li> <p> <li>Diabetic emergencies </li> <p> <li>Gastrointestinal hemorrhage </li> <p> <li>Hypotension and shock </li> <p> <li>Infectious disease emergencies/sepsis</li> <p> <li>Psychiatric emergencies/Care of the agitated or suicidal patient</li> <p> <li>Obstetrics and Gynecologic emergencies</li> <p> <li>Overdose</li> <p> <li>Poisonings</li> <p> <li>Renal failure and dialysis </li> <p> <li>Respiratory emergencies – anaphylaxis, COPD, asthma, pneumonia </li> <p> <li>Seizures</li> <p> <li>Stroke and TIA</li> <p> <li>Syncope</li> <p>Section 5 Adult Trauma Care </p> <p> <li>General Adult trauma principles and triage </li> <p> <li>Head injuries and facial trauma </li> <p> <li>Cervical spine and spinal cord injuries </li> <p> <li>Chest, abdominal, and pelvic injuries </li> <p> <li>Extremity injuries </li> <p> <li>Penetrating injuries </li> <p> <li>Thermal burns and inhalational injuries</li> <p> <li>Care of the entrapped patient, including crush injury</li> <p>Section 6 Pediatric Medical Care</p> <p> <li>Decision making and critical interpretation of vital signs</li> <p> <li>Abdominal pain, vomiting and diarrhea, dehydration </li> <p> <li>Altered mental status</li> <p> <li>Cardiac arrest and arrhythmias </li> <p> <li>Chest pain and syncope </li> <p> <li>Infectious disease emergencies/sepsis</li> <p> <li>Prehospital physical assessment</li> <p> <li>Respiratory distress emergencies – asthma, bronchiolitis, croup, pneumonia, anaphylaxis </li> <p> <li>Seizures</li> <p> <li>Shock </li> <p> <li>Technology dependent children </li> <p> <li>Poisonings </li> <p>Section 7 Pediatric Trauma Care</p> <p> <li>General Pediatric trauma principles and triage </li> <p> <li>Head injuries and facial trauma </li> <p> <li>Cervical spine and spinal cord injuries </li> <p> <li>Chest, abdominal, and pelvic injuries </li> <p> <li>Extremity injuries </li> <p> <li>Penetrating injuries </li> <p> <li>Thermal burns and inhalational injuries </li> <p>Section 8 Disaster and Multiple Casualty Incidents</p> <p> <li>General principles in disasters and multiple casualty incidents </li> <p> <li>Prehospital triage for mass casualties </li> <p> <li>Mass casualty evacuation and patient movement </li> <p> <li>Biological terrorism </li> <p> <li>Chemical terrorism </li> <p> <li>Radiation and radiation injury </li> <p> <li>Blast injuries </li> <p> <li>Hazardous materials response </li> <p> <li>Tactical EMS </li> <p> <li>Search and rescue </li> <p> <li>Community disaster preparedness </li> <p>Section 9 Wilderness EMS and Austere medicine </p> <p> <li>General principles in wilderness medicine</li> <p> <li>Bites, stings, and envenomations </li> <p> <li>Decompression illnesses </li> <p> <li>Dysbarisms</li> <p> <li>Heat related illness </li> <p> <li>Hypothermia </li> <p> <li>Lightning and electrical emergencies </li> <p> <li>Submersion injuries/drownings</li> <p> <li>Wilderness survival</li> <p>Section 10 Special Prehospital Situations</p> <p> <li>Interfacility transport, including Ground Critical Care Transport</li> <p> <li>Bariatric emergencies</li> <p> <li>Geriatric emergencies </li> <p> <li>Aeromedical Transport </li> <p> <li>Community Paramedicine </li> <p> <li>Intimate partner violence, sexual assault, and child maltreatment </li> <p> <li>End of life issues </li> <p>Section 11 Prehospital Skills and Procedures</p> <p> <li>Airway Management</li> <p> <li>Analgesia and sedation </li> <p> <li>CPR, AED, mechanical compression</li> <p> <li>Electrocardiogram interpretation </li> <p> <li>Field amputation </li> <p> <li>Hemorrhage control </li> <p> <li>Intravascular/ interosseous access and fluids resuscitation</li> <p> <li>Oxygenation and ventilation </li> <p> <li>Perimortem caesarian section </li> <p> <li>Point of care testing </li> <p> <li>Procedures in the trauma patient </li> <p> <li>Splinting and spinal immobilization</li> <p> <li>Telemedicine and emerging telecommunications </li> <p> <li>Termination of resuscitation </li> <p> <li>Transport of the highly infectious patient </li> </ol></ol>